Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $15,848.93 / $32,359.37	Facility		$1,778.28	$15,848.93	$32,359.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,982.44 / $29,512.09	Facility		$12,022.64	$16,982.44	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $5,754.40	Facility		$3,090.30	$3,630.78	$5,754.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,786.30 / $8,912.51	Facility		$1,318.26	$4,786.30	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $10,471.29 / $17,378.01	Facility		$1,318.26	$10,471.29	$17,378.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $4,168.69	Professional		$1,445.44	$2,818.38	$4,168.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $27,542.29	Facility		$18,620.87	$18,620.87	$27,542.29
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,862.09 / $1,862.09 / $2,754.23	Facility	AS	$1,862.09	$1,862.09	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $13,803.84 / $17,782.79	Facility		$8,912.51	$13,803.84	$17,782.79